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NPI 1003579384

IndividualActive

Katelynne Ketchum, RBT

NPI 1003579384 · Foster Care Agency · Flagstaff, AZ

Provider details

NPI number: 1003579384
Entity type: Individual
Primary specialty: Foster Care AgencyAgencies
Credential: RBT
Sex: Female
Sole proprietor: Yes
License: RBT-21-188875 (AZ)

Practice location

3480 E Route 66

Flagstaff, AZ 86004-4032

Phone: (928) 438-9985

Fax: (317) 520-8200

More AZ providers

Mailing address

3500 Depauw Blvd Ste 3070

Indianapolis, IN 46268-6135

Registry dates

Enumerated: 2021-10-14
Last updated: 2026-03-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Katelynne Ketchum, RBT — NPI 1003579384, Flagstaff, AZ | NPI Central